Mourning the c-section

I’ve just recently joined an on-line community of people who support VBAC, HBAC, and discuss the trauma and risks of c/s. I am hoping that I can gain some courage from this listserv and get some answers!

Through this listserv I came across the website for the ICAN (International Cesarean Awareness Network) Publications Director. She posted her birth stories - the first one a traumatic-sounding c/s, and the second an empowering HBAC. Her stories give me hope, but they also stir up regret and anger as I begin my journey anew. The regret I can work through. The anger I can use as fuel.

Condemned before beginning

This gal discusses how she felt condemned before she even tried to get pregnant the first time. Her midwife was an infertility specialist of sorts and had probably seen a lot of women who suffered with infertility. She told this woman that her age 31 – the same age I was when I conceived my daughter – could contribute to conception problems. Geez!

I didn’t have that experience first time around, but two OBs here in town have condemned me. I have been enticed to fail or give up. I am new to this town so have had to search for new practitioners. I had been thinking that I would try a hospital VBAC with an OB and a doula. (My first labor was attended by a midwife, the L&D nurses at the hospital, and my husband). I believed that the first OB I saw was a supporter of VBAC, and since he had recently built a free-standing birth center, I decided to visit him. I’ve never had a male gynecologist but was willing to work with a man if I thought it would be best for me and a future baby. When he did the pelvic exam, he determined that my pelvis is ample laterally but narrow longitudinally. I’m supposing that is what is referred to in the medical field as a “contracted pelvis”, but I’m not certain.

I was having trouble with my birth control method and needed to be seen. I was on the Nuvaring, and I highly discourage its use. It can fall out without you even knowing, for one. My new OB/GYN wasn’t able to see me, but his new partner could see me. The staff spoke very kindly of this new partner. He didn’t feel the need to do an exam (“I can do one if you want“), so we just talked. Since he’s the other doctor’s back-up, I decided to ask him about his experience with VBACs. Here’s what I learned in a very short amount of time:

  • Yes, I do them (not yes I encourage them as much as possible).
  • “Why wouldn’t you just do a scheduled repeat c?”
  • “Your tubes will just be flopping around during the surgery, so we could tie them for you.” (Did I mention that I was interested in having my tubes tied? NO!)
  • When I explained a little of my unique situation he said “wow, this is just getting worse!” meaning that he had little faith that I could do a VBAC.
  • They will likely discontinue their VBAC services because the hospital is forcing them to labor-sit all VBAC candidates and that completely paralyzes their practice.

What a piece of work that guy was – so presumptuous! He treated me like I was a village idiot not a highly-educated fully-cognizant woman. I decided then and there to leave the practice. Even if the 1st OB was a dream (which I wasn’t sure), I couldn’t take the chance that this yahoo would be my L&D partner.

The Body is Wise
I am an opera singer, so I am pretty “in tune” with my body. Singing requires excellent coordination of breath and tone. I know how my abdomen, pelvis, and throat should feel in order to produce an optimal sound. However, I’ve never particularly considered the body to be wise. But the body often knows better than the mind.

Ow!
Late in my pregnancy I had quite a bit of pain. Of course it had been painful for most of the pregnancy to roll over in bed, but as my baby took up more space, new pains arose. I was often temporarily debilitated by intense pains when walking. It felt like my daughter was scraping or poking my cervix. What was she doing down there and how was she doing it? I don’t know and didn’t ask my midwife about it. But I think she had her hands up by her head during most of the pregnancy, and certainly “arms up” was a position that loved outside the womb.

Ugh!
My due date came and went. I saw my midwife who said that I was still about a week out. We went home a bit dejected but enjoyed a quiet afternoon at home without the extended family. I started getting violently ill that evening which began producing very strong contractions. I didn’t really consider that I was in labor. The contractions were manageable; the illness was NOT. I probably should have tried to contact one of the doulas I knew to see if they had any remedies for my symptoms. I didn’t want to go to the hospital . . . didn’t know how I’d get there without getting sick in the car . . . didn’t think I could walk the few steps to the car. In retrospect, I wonder if I should have stayed home and dealt with the dehydration on my own.

“That’s not amniotic fluid!”
We arrived at the hospital, and I was evidently 9cm dilated. I knew that I didn’t want any intervention, but I allowed my midwife to break my water. I think that was a big mistake. Catherine didn’t slide into position as expected. I was so weak that I didn’t try alternate birthing positions. Since I had diarrhea along with the vomiting, I felt inhibited. I didn’t want to get in a different position that might gross my midwife out. Stupid! Listen to the body! The body said, “Laboring on your left side really sucks.” The fetal monitor argued back: “Laboring sitting up stresses out the baby.” I ignored my body, and I pushed from my side to no avail.

Out!!
Everyone was tired. My contractions seemed constant (though the monitor told its own story) but were unproductive. I had such a strong urge to push, and that urge stuck with me for hours. The midwife called the OB. I really liked the OB – she’s no nonsense but cute and friendly. She has children of her own. She thought she could get the baby out naturally. After an hour she gave up. So did I.

“So how has this changed me? I am much less trusting than I ever was. I have a better understanding of my limits, and a raging hatred for those who sought to impose limits upon me when I was weak, who told me I wasn’t progressing…but what is 9 centimeters dilation, if not progress? I have a face to put to those who place their own political standing above the health and well-being of those in their care. And above all else, I have more faith in myself than I ever had before, because now I have a clear picture of what happens when you place your faith in someone else when it truly rests with you.” – Laureen

Her statement resonates on many levels. I too am much less trusting of the medical profession in general. I too ended up with a c/s for failing to progress (I assume), even though I was fully dilated. I too despise the political element of health care. Personal agenda has no place in health care. I hate the fact that being a woman often causes me to be treated as a lesser man – not only by OBs, but by mental health practitioners and even pediatricians!

I have been forever changed. I bear physical and mental scars of my history. However, the scars can serve as reminders when I am feeling weak or am being attacked for my beliefs. And perhaps my scars can save others from this same fate.

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6 responses to “Mourning the c-section

  1. thanks for the plug! A lot of people don’t understand how we can put such personal stuff, like our birthstories, out on the web, but this is precisely why… if we do, women “out there” no longer feel alone, like what happened to them only happened to them. We are more alike than we are not, and the only way we know that is by sharing our stories.

    Thanks for sharing yours, through this blog. I look forward to reading it as it unfolds. =)

  2. fellow opera singer… I found it so hard to sing after my cesarean, I hated that whole part of my body and didn’t want to breathe deeply because it could trigger an adhesion pain…..

  3. Krista, I was lucky – had a marvelous recovery and performed a Beethoven 9 2 months PP. But I never want my abdomen cut open again unless it’s a life or death situation. Feel free to e-mail me if you want to talk about our common interests. Also, I haven’t been over there in a while, but Operamom might be a good resource for you to check out. Sure beats NFCS, IMO.

  4. I just ran into your blog and you might as well be writing most of my story. I have spent the last 18 hrs in so much anger coz I do not feel supported for my decision but I can’t bring myself to schedule a RCS unless I feel it’s medically necessary.

    Anyway TFS your story, hopefully more people can read it and be inspired. I plan on sharing it with my prego buddies who may end up in this situation.

  5. I discovered your blog off the midwifery feed…I hope you find the answers you’re looking for, peace about your last birth, and the strength to go for a VBAC for the next time. I’m sorry about your miscarriage.

    Sincerely, Guinever

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